FundamentalmConceptsmandmSkills mfor mNursingm6thmEditionmTestm
Bank
m m m
m
, FundamentalmConceptsmandmSkills mfor mNursingm6thmEditionmTestm
Bank
Chapter m01:mNursing mandmthemHealthmCare mSystem
MULTIPLEmCHOICE
1. FlorencemNightingale’smcontributionsmtomnursingmpracticemand meducation:
a. aremhistoricallymimportant mbut mhavemnomvaliditymformnursingmtoday.
b. weremneithermrecognized mnormappreciated minmhermownmtime.
c. weremammajormfactorminmreducingmthemdeathmrateminmthemCrimeanmWar.
d. weremlimited monlymtomthemcaremof mseveremtraumaticmwounds.
ANS:m C
Bymimprovingmsanitation,mnutritionmventilation,mand mhandwashingmtechniques,mFlorence
Nightingale’smnursesmdramaticallymreduced mthemdeathmratemfromminjuriesminmthemCrimeanmWar.
DIF: CognitivemLevel:mKnowledg REF:m m p.m OBJ:m Theory m#1
e 2
TOP:m NursingmHistory KEY:m NursingmProcessmStep:mN/A
mMSC:m NCLEX:mN/A
2. Earlymnursingmeducationmand mcareminmthemUnited mStates:
a. weremdirected mat mcommunitymhealth.
b. provided mindependencemformwomenmthroughmeducationmand memployment.
c. weremanmeducationalmmodelmbased minminstitutionsmof mhighermlearning.
d. havemcontinued mtombementirelymfocused monmhospitalmnursing.
ANS:m B
Becausemof mtheminfluencemof mearlymnursing mlead .ers,mnursing meducationmbecame mmore mformaliz
ed mthroughmapprenticeshipsmin mNightingalem schools mthat moffered mindependencemtomwomenmthr
oughmeducationmand memployment.
DIF: CognitivemLevel:mKnowledg REF:m m p.m OBJ:m Theory m#4
e 2
TOP:m NursingmHistory KEY:m NursingmProcessmStep:mN/A
mMSC:m NCLEX:mN/A
3. Inmordermtomfulfillmthemcommonmgoalsmdefined mbymnursingmtheoristsm(promotemwellness,mpreve
nt millness,mfacilitatemcoping,mand mrestoremhealth),mthemLPN mmust mtakemonmthemrolesmof:
a. caregiver,meducator,mand mcollaborator.
b. nursingmassistant,mdelegator,mand menvironmentalmspecialist.
c. medicationmdispenser,mcollaborator,mand mtransporter.
d. dietitian,mmanager,mand mhousekeeper.
ANS:m A
InmordermformthemLPN mtomapplymthemcommonmgoalsmof mnursing,mhemormshemmust massumemthemro
lesmof mcaregiver,meducator,mcollaborator,mmanager,mand madvocate.
DIF: CognitivemLevel:mComprehensio REF:m m p.m OBJ:mTheory m#2
n 3
TOP:m Artmand mSciencemofmNursin KEY:m NursingmProcessmStep:mN/A
gmMSC:m NCLEX:mN/A
4. Althoughmnursingmtheoriesmdifferminmtheirmattemptsmtomdefinemnursing,mallmof mthemmbasemth
eirmbeliefsmonmcommonmconceptsmconcerning:
, FundamentalmConceptsmandmSkills mfor mNursingm6thmEditionmTestm
Bank
a. self-actualization,mfundamentalmneeds,mand mbelonging.
b. stressmreduction,mself-care,mand mamsystemsmmodel.
c. curativemcare,mrestorativemcare,mand mterminalmcare.
d. humanmrelationships,mthemenvironment,mand mhealth.
ANS:m D
Althoughmnursingmtheoriesmdiffer,mtheymallmbasemtheirmbeliefsmonmhumanmrelationships,mthemenvir
onment,mand mhealth.
DIF: CognitivemLevel:mComprehensio REF:m m p.m OBJ:mTheory m#2
n 4
TOP:m NursingmTheorie KEY:m NursingmProcessmStep:mN/A
smMSC:m NCLEX:mN/A
5. Standardsmof mcaremformthemnursingmpracticemof mthemLPN maremestablished mbymthe:
a. Boardsmof mNursingmExaminersminmeachmstate.
b. NationalmCouncilmof mStatesmBoardsmof mNursingm(NCSBN).
c. AmericanmNursesmAssociationm(ANA).
d. NationalmFederationmof mLicensed mPracticalmNurses.
ANS:m D
ThemNationalmFederationmof mLicensed mPracticalmNursesmmodified mthemstandardsmpublished mbymth
emANA minm2015mtombettermfit mthemrolemof mthemLPN.mInm2015mthemAmericanmNursesmAssociationm(
ANA)mrevised mthemStandardsmofmNursingmPracticemwhichmcontained m17mstandardsmof mnationalmp
racticemof mnursing,mdescribingmallmfacetsmof mnursingmpractice:mwho,mwhat,mwhen,mwhere,mhow.
DIF: REF:m m p.m OBJ:mTheory m#2
CognitivemLevel:mComprehensio 6
n
TOP:m Standardsmof mCar KEY:mNursingmProcessmStep:mN/A
emMSC:m NCLEX:mN/A
6. ThemLPN mdemonstratesmanmevidence-based mpracticemby:
a. usingmamdrugmmanualmtomcheckmcompatibilitymof mdrugs.
b. usingmscientificminformationmtomguidemdecisionmmaking.
c. usingmmedicalmhistorymof mampatient mtomdirect mnursingminterventions.
d. basingmnursingmcaremonmadvicemfrommanmexperienced mnurse.
ANS:m B
Themusemof mscientificminformationmfrommhigh-
qualitymresearchmtomguidemnursingmdecisionsmismreflectivemof mthemapplicationmof mevidence-
based mpractice.
DIF: CognitivemLevel:mKnowledg REF:m m p.m OBJ:m Theory m#3
e 7
TOP:m Evidence- KEY:m NursingmProcessmStep:mN/A
Based mPracticemMSC:m NCLEX
:mN/A
7. LillianmWald mand mMarymBrewstermestablished mthemHenrymStreet mSettlement mServiceminmNew mYo
rkminm1893minmordermto:
a. offermamsheltermtominjured mwarmveterans.
b. found mamnursingmapprenticeship.
c. providemhealthmcaremtompoormpersonsmlivingminmtenements.
d. offermbettermhousingmtomlow-incomemfamilies.
ANS:m C
, FundamentalmConceptsmandmSkills mfor mNursingm6thmEditionmTestm
Bank
HenrymStreet mSettlement mServicembrought mthemprovisionmof mcommunitymhealthmcaremtomthempoorm
peoplemlivingminmtenements.
DIF: CognitivemLevel:mComprehensio REF:m m p.m OBJ:mTheory m#4
n 2
TOP:m Growth mof mNursin KEY:m NursingmProcessmStep:mN/A
gmMSC:m NCLEX:mN/A
8. AnmeducationalmpathwaymformanmLPN/LVN mrefersmtomanmLPN/LVN:
a. learningmonmthemjobmand mbeingmpromoted mtomamhighermlevelmof mresponsibility.
b. movingmfrommammaternitymunit mtomammoremcomplicated msurgicalmunit.
c. obtainingmadditionalmeducationmtommovemfrommonemlevelmof mnursingmtomanother.
d. learningmthat madvancement mrequiresmconsistent mworkmand mcommitment.
ANS:m C
Bymbroadeningmthemeducationalmbase,manmLPN/LVN mmaymadvancemand mbuild mamnursingmcareer.
DIF: CognitivemLevel:mKnowledg REF:m m p.m OBJ:mTheory m#7
e 7
TOP:m NursingmEducationmPathway KEY:m NursingmProcessmStep:mN/A
smMSC:m NCLEX:mN/A
9. Whenmdiagnosis-
related mgroupsm(DRGs)mweremestablished mbymMedicareminm1983,mthempurposemwasmto:
a. put mpatientsmwithmthemsamemdiagnosismonmthemsamemunit.
b. attempt mtomcontainmthemcostsmof mhealthmcare.
c. increasemthemavailabilitymof mmedicalmcaremtomoldermadults.
d. identifymampatient’smconditionmmoremquickly.
ANS:m B
Thempurposemof minstitutingmDRGsmwasmtomcontainmskyrocketingmcostsmof mhealthmcare.
DIF: CognitivemLevel:mKnowledg REF:m m p.m OBJ:m Theory m#10
e 9
TOP:m Health mCaremDeliver KEY:mNursingmProcessmStep:mN/A
y mMSC:m NCLEX:mN/A
10. Themadvent mof mdiagnosis-
related mgroupsm(DRGs)mrequired mthat mnursesmworkingminmhealthmcaremagencies:
a. record msupportivemdocumentationmtomconfirmmampatient’smneed mformcareminmordermto
qualifymformreimbursement.
b. usemthemDRG mrathermthanmtheirmownmobservationsmformpatient massessment.
c. bemawaremof mthemspecificmdrugsmrelated mtomthemdiagnosis.
d. acquiremcross-trainingmtommakemstaffingmmoremflexible.
ANS:m A
DRGsmrequired mthat mnursesmprovidemmoremsupportivemdocumentationmof mtheirmassessmentsmand m
identified mpatient’smneedsmtomqualifymthemfacilitymformMedicaremreimbursement.mObservant masse
ssment mmight malsomindicatemanothermDRG mclassificationmand mconsequentlymmoremreimbursemen
t mformthemfacility.
DIF: CognitivemLevel:mComprehensio REF:m m p.m1 OBJ:m Theory m#10
n 0
TOP:m Managed mCare KEY:mNursingmProcessmStep:mN/A
mMSC:m NCLEX:mN/
A
Bank
m m m
m
, FundamentalmConceptsmandmSkills mfor mNursingm6thmEditionmTestm
Bank
Chapter m01:mNursing mandmthemHealthmCare mSystem
MULTIPLEmCHOICE
1. FlorencemNightingale’smcontributionsmtomnursingmpracticemand meducation:
a. aremhistoricallymimportant mbut mhavemnomvaliditymformnursingmtoday.
b. weremneithermrecognized mnormappreciated minmhermownmtime.
c. weremammajormfactorminmreducingmthemdeathmrateminmthemCrimeanmWar.
d. weremlimited monlymtomthemcaremof mseveremtraumaticmwounds.
ANS:m C
Bymimprovingmsanitation,mnutritionmventilation,mand mhandwashingmtechniques,mFlorence
Nightingale’smnursesmdramaticallymreduced mthemdeathmratemfromminjuriesminmthemCrimeanmWar.
DIF: CognitivemLevel:mKnowledg REF:m m p.m OBJ:m Theory m#1
e 2
TOP:m NursingmHistory KEY:m NursingmProcessmStep:mN/A
mMSC:m NCLEX:mN/A
2. Earlymnursingmeducationmand mcareminmthemUnited mStates:
a. weremdirected mat mcommunitymhealth.
b. provided mindependencemformwomenmthroughmeducationmand memployment.
c. weremanmeducationalmmodelmbased minminstitutionsmof mhighermlearning.
d. havemcontinued mtombementirelymfocused monmhospitalmnursing.
ANS:m B
Becausemof mtheminfluencemof mearlymnursing mlead .ers,mnursing meducationmbecame mmore mformaliz
ed mthroughmapprenticeshipsmin mNightingalem schools mthat moffered mindependencemtomwomenmthr
oughmeducationmand memployment.
DIF: CognitivemLevel:mKnowledg REF:m m p.m OBJ:m Theory m#4
e 2
TOP:m NursingmHistory KEY:m NursingmProcessmStep:mN/A
mMSC:m NCLEX:mN/A
3. Inmordermtomfulfillmthemcommonmgoalsmdefined mbymnursingmtheoristsm(promotemwellness,mpreve
nt millness,mfacilitatemcoping,mand mrestoremhealth),mthemLPN mmust mtakemonmthemrolesmof:
a. caregiver,meducator,mand mcollaborator.
b. nursingmassistant,mdelegator,mand menvironmentalmspecialist.
c. medicationmdispenser,mcollaborator,mand mtransporter.
d. dietitian,mmanager,mand mhousekeeper.
ANS:m A
InmordermformthemLPN mtomapplymthemcommonmgoalsmof mnursing,mhemormshemmust massumemthemro
lesmof mcaregiver,meducator,mcollaborator,mmanager,mand madvocate.
DIF: CognitivemLevel:mComprehensio REF:m m p.m OBJ:mTheory m#2
n 3
TOP:m Artmand mSciencemofmNursin KEY:m NursingmProcessmStep:mN/A
gmMSC:m NCLEX:mN/A
4. Althoughmnursingmtheoriesmdifferminmtheirmattemptsmtomdefinemnursing,mallmof mthemmbasemth
eirmbeliefsmonmcommonmconceptsmconcerning:
, FundamentalmConceptsmandmSkills mfor mNursingm6thmEditionmTestm
Bank
a. self-actualization,mfundamentalmneeds,mand mbelonging.
b. stressmreduction,mself-care,mand mamsystemsmmodel.
c. curativemcare,mrestorativemcare,mand mterminalmcare.
d. humanmrelationships,mthemenvironment,mand mhealth.
ANS:m D
Althoughmnursingmtheoriesmdiffer,mtheymallmbasemtheirmbeliefsmonmhumanmrelationships,mthemenvir
onment,mand mhealth.
DIF: CognitivemLevel:mComprehensio REF:m m p.m OBJ:mTheory m#2
n 4
TOP:m NursingmTheorie KEY:m NursingmProcessmStep:mN/A
smMSC:m NCLEX:mN/A
5. Standardsmof mcaremformthemnursingmpracticemof mthemLPN maremestablished mbymthe:
a. Boardsmof mNursingmExaminersminmeachmstate.
b. NationalmCouncilmof mStatesmBoardsmof mNursingm(NCSBN).
c. AmericanmNursesmAssociationm(ANA).
d. NationalmFederationmof mLicensed mPracticalmNurses.
ANS:m D
ThemNationalmFederationmof mLicensed mPracticalmNursesmmodified mthemstandardsmpublished mbymth
emANA minm2015mtombettermfit mthemrolemof mthemLPN.mInm2015mthemAmericanmNursesmAssociationm(
ANA)mrevised mthemStandardsmofmNursingmPracticemwhichmcontained m17mstandardsmof mnationalmp
racticemof mnursing,mdescribingmallmfacetsmof mnursingmpractice:mwho,mwhat,mwhen,mwhere,mhow.
DIF: REF:m m p.m OBJ:mTheory m#2
CognitivemLevel:mComprehensio 6
n
TOP:m Standardsmof mCar KEY:mNursingmProcessmStep:mN/A
emMSC:m NCLEX:mN/A
6. ThemLPN mdemonstratesmanmevidence-based mpracticemby:
a. usingmamdrugmmanualmtomcheckmcompatibilitymof mdrugs.
b. usingmscientificminformationmtomguidemdecisionmmaking.
c. usingmmedicalmhistorymof mampatient mtomdirect mnursingminterventions.
d. basingmnursingmcaremonmadvicemfrommanmexperienced mnurse.
ANS:m B
Themusemof mscientificminformationmfrommhigh-
qualitymresearchmtomguidemnursingmdecisionsmismreflectivemof mthemapplicationmof mevidence-
based mpractice.
DIF: CognitivemLevel:mKnowledg REF:m m p.m OBJ:m Theory m#3
e 7
TOP:m Evidence- KEY:m NursingmProcessmStep:mN/A
Based mPracticemMSC:m NCLEX
:mN/A
7. LillianmWald mand mMarymBrewstermestablished mthemHenrymStreet mSettlement mServiceminmNew mYo
rkminm1893minmordermto:
a. offermamsheltermtominjured mwarmveterans.
b. found mamnursingmapprenticeship.
c. providemhealthmcaremtompoormpersonsmlivingminmtenements.
d. offermbettermhousingmtomlow-incomemfamilies.
ANS:m C
, FundamentalmConceptsmandmSkills mfor mNursingm6thmEditionmTestm
Bank
HenrymStreet mSettlement mServicembrought mthemprovisionmof mcommunitymhealthmcaremtomthempoorm
peoplemlivingminmtenements.
DIF: CognitivemLevel:mComprehensio REF:m m p.m OBJ:mTheory m#4
n 2
TOP:m Growth mof mNursin KEY:m NursingmProcessmStep:mN/A
gmMSC:m NCLEX:mN/A
8. AnmeducationalmpathwaymformanmLPN/LVN mrefersmtomanmLPN/LVN:
a. learningmonmthemjobmand mbeingmpromoted mtomamhighermlevelmof mresponsibility.
b. movingmfrommammaternitymunit mtomammoremcomplicated msurgicalmunit.
c. obtainingmadditionalmeducationmtommovemfrommonemlevelmof mnursingmtomanother.
d. learningmthat madvancement mrequiresmconsistent mworkmand mcommitment.
ANS:m C
Bymbroadeningmthemeducationalmbase,manmLPN/LVN mmaymadvancemand mbuild mamnursingmcareer.
DIF: CognitivemLevel:mKnowledg REF:m m p.m OBJ:mTheory m#7
e 7
TOP:m NursingmEducationmPathway KEY:m NursingmProcessmStep:mN/A
smMSC:m NCLEX:mN/A
9. Whenmdiagnosis-
related mgroupsm(DRGs)mweremestablished mbymMedicareminm1983,mthempurposemwasmto:
a. put mpatientsmwithmthemsamemdiagnosismonmthemsamemunit.
b. attempt mtomcontainmthemcostsmof mhealthmcare.
c. increasemthemavailabilitymof mmedicalmcaremtomoldermadults.
d. identifymampatient’smconditionmmoremquickly.
ANS:m B
Thempurposemof minstitutingmDRGsmwasmtomcontainmskyrocketingmcostsmof mhealthmcare.
DIF: CognitivemLevel:mKnowledg REF:m m p.m OBJ:m Theory m#10
e 9
TOP:m Health mCaremDeliver KEY:mNursingmProcessmStep:mN/A
y mMSC:m NCLEX:mN/A
10. Themadvent mof mdiagnosis-
related mgroupsm(DRGs)mrequired mthat mnursesmworkingminmhealthmcaremagencies:
a. record msupportivemdocumentationmtomconfirmmampatient’smneed mformcareminmordermto
qualifymformreimbursement.
b. usemthemDRG mrathermthanmtheirmownmobservationsmformpatient massessment.
c. bemawaremof mthemspecificmdrugsmrelated mtomthemdiagnosis.
d. acquiremcross-trainingmtommakemstaffingmmoremflexible.
ANS:m A
DRGsmrequired mthat mnursesmprovidemmoremsupportivemdocumentationmof mtheirmassessmentsmand m
identified mpatient’smneedsmtomqualifymthemfacilitymformMedicaremreimbursement.mObservant masse
ssment mmight malsomindicatemanothermDRG mclassificationmand mconsequentlymmoremreimbursemen
t mformthemfacility.
DIF: CognitivemLevel:mComprehensio REF:m m p.m1 OBJ:m Theory m#10
n 0
TOP:m Managed mCare KEY:mNursingmProcessmStep:mN/A
mMSC:m NCLEX:mN/
A
